Utilization Management Authorization Assistant

3 weeks ago


Redlands, United States Redlands Community Hospital - UTILIZATION MANAGEMENT SUPPORT Full time

Reporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the department to ensure the financial needs that relate to the following areas are correct for hospital billing: acute admissions, outpatient services and surgeries. This position is a liaison to outside review agencies for information, coordinating this information to the proper hospital department and investigating if a problem is identified.

Ability to meet all job physical requirements as outlined in job description or as agreed through a work place accommodation.

QUALIFICATION
- High School graduation or equivalent preferred
- Two years of experience of acute hospital setting in utilization review, case management, business office or related department preferred. Experience in a managed care environment is desirable.
- Strong knowledge of medical terminology preferred.



  • Redlands, United States Loma Linda University Medical Center Full time

    Job Summary: The Coordinator-Managed Care works under the supervision of Manager Managed Care. Provides LLEAP Tapestry training to LLUHC Departments. Tracks Bed Day activity, admits, discharges, and Emergency Room services. Approves referral requests within the scope of position, according to health plan criteria and health plan benefit. Arranges for...


  • Redlands, United States Loma Linda University Medical Center Full time

    Job Summary: The Coordinator-Managed Care works under the supervision of Manager Managed Care. Provides LLEAP Tapestry training to LLUHC Departments. Tracks Bed Day activity, admits, discharges, and Emergency Room services. Approves referral requests within the scope of position, according to health plan criteria and health plan benefit. Arranges for...


  • Redlands, United States Sunrise Management Full time

    **Maintenance Technician - Cypress Villas - Redlands, CA** **Who we are**: At Sunrise, we practice resident hospitality, focusing on what matters most: Helping people feel right at home. We are _people _people who pride ourselves in providing our residents with a Positive Living Experience. **About this role**: The Maintenance Technician plays a very...


  • Redlands, United States Frontier Management LLC Full time

    Are you looking for a new best friend, card-game companion, or gardening guru? Then consider working with one of our light, bright, and beautiful Assisted Living and Memory Care communities - where our residents are #1 and our team members shine! Medication Licensed Nurse - Memory Care Frontier Senior Living is seeking an outstanding Medication Licensed...


  • Redlands, United States First Financial Credit Union Full time

    When you join First Financial Credit Union as an Assistant Manager in our Redlands branch, you will join a team of dedicated, self-motivated individuals who enjoy helping others and working in a collaborative and progressive environment. We don't shy away from our success and work hard each day to make great things happen for our members, our teams, and...


  • Redlands, United States First Financial Credit Union Full time

    Job DescriptionJob DescriptionWhen you join First Financial Credit Union as an Assistant Manager in our Redlands branch, you will join a team of dedicated, self-motivated individuals who enjoy helping others and working in a collaborative and progressive environment. We don't shy away from our success and work hard each day to make great things happen...


  • Redlands, United States Redlands Full time

    Reporting to the Nursing Director, this position requires the full understanding and active participation in fulfilling the mission of Redlands Community Hospital. It is expected the employee demonstrates behavior consistent with our Standards of Performance. The Charge Nurse adheres to the Patient’s First...


  • Redlands, United States Redlands Full time

    Reporting to the Nursing Director, this position requires the full understanding and active participation in fulfilling the mission of Redlands Community Hospital. It is expected the employee demonstrates behavior consistent with our Standards of Performance. The Charge Nurse adheres to the Patient’s First...


  • Redlands, United States BoxLunch Hot Topic Full time

    Provide an amazing shopping experience that will encourage customers to return. Theyll be impressed by your product knowledge, customer experience skills, and use of the Force Step in and step up when needed. Youll cover the sales floor and provide Assistant Manager, Part-Time, Manager, Assistant, Customer Experience, Sales


  • Redlands, United States Citrus HOA Management Full time

    The Job We are seeking an honest and reliable go-to handyman to become part of our growing team! We are looking for someone to respond to work orders, maintenance requests, and emergency calls. This position will be 10-30 hours a week with an opportunity for more hours in the future. This is a 1099 positions and requires you to get general liability...

  • Management Trainee

    3 weeks ago


    Redlands, United States Summit Strive Consulting Full time

    Job DescriptionJob DescriptionPosition Overview:We are seeking a highly motivated and enthusiastic individual to join our team as a Management Trainee. This position offers a unique opportunity to gain hands-on experience in fundraising, sales, and event management while learning from industry experts. As a Management Trainee, you will work closely with...


  • Redlands, United States Redlands Full time

    Reporting to the Nursing Director, this position requires the full understanding and active participation in fulfilling the mission of Redlands Community Hospital. It is expected the employee demonstrates behavior consistent with our Standards of Performance. The Charge Nurse adheres to the Patient’s First...

  • Medical Assistant

    4 weeks ago


    Redlands, United States HOS Full time

    As a Medical Assistant you will be responsible for providing administrative support to ensure efficient operation of the medical office/hospital. You will support doctors and patients through a variety of tasks related to patient care management, organization and communication. The target is to complete all activities accurately, with high quality and in a...


  • Redlands, United States Sage Oak Charter Schools Full time

    Director of Talent and Engagement **Job Description**: Reports To: Assistant Superintendent of Human Resources (or designee) FLSA Status: Exempt School Classification: Certificated Pay Schedule: Range 17A ($150,637 - $178,289) Work Schedule: 220 days/12 months Location: Redlands Office and Remote Office Position Summary: Under the direction of the...


  • Redlands, United States Veterans Health Administration Full time

    Major duties include, but are not limited to the following: Conducts comprehensive nutrition assessments using the Nutritional Care Process (NCP), including nutrition focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition Develops and implements Medical Nutrition Therapy (MNT) to address the...

  • Case Manager-rn

    4 days ago


    Redlands, United States Loma Linda University Full time

    **Job Summary**:The RN-Case Manager is responsible for utilization management and inpatient care management in a telephonic and/or onsite care management position; performs reviews of inpatient and outpatient services to determine medical appropriateness following evaluation of medical guidelines and benefit determination; focuses on changing from...


  • Redlands, United States Loma Linda University Medical Center Full time

    BMC: Dietary - (Full-Time, Variable Shift) - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. The Manager-OPS Dietician is responsible for providing leadership in the management of food production for patients, cafeteria, and...


  • Redlands, California, United States Veterans Health Administration Full time

    Major duties include, but are not limited to the following:Conducts comprehensive nutrition assessments using the Nutritional Care Process (NCP), including nutrition focused physical examinations, to establish a nutrition diagnosis and determine risk and/or degree of malnutrition Develops and implements Medical Nutrition Therapy (MNT) to address the...

  • Case Manager-RN

    1 day ago


    Redlands, United States Loma Linda University Medical Center Full time

    Job Summary: The RN-Case Manager is responsible for utilization management and inpatient care management in a telephonic and/or onsite care management position; performs reviews of inpatient and outpatient services to determine medical appropriateness following evaluation of medical guidelines and benefit determination; focuses on changing from...

  • Product Manager

    4 weeks ago


    Redlands, United States Serigor Inc. Full time

    Job DescriptionJob DescriptionJob Title: Product ManagerLocation: Los Angeles, California | Reno, NevadaDuration: Full TimeJob Description:The Senior Product Manager develops and drives product strategy cross functionally with P&L responsibility in a broadly assigned product category or categories within multiple brands. This role is responsible for product...